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28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (62-66 Windermere Road)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (62-66 Windermere Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Up Hatherley)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Cheltenham)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Gloucestershire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (GL51 5PL)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01242242684)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 557.56 Tm (www.brandontrust.org)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.3 m 353.25 479.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 479.3 m 565.9 479.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 456.46 m 353.25 456.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 456.46 m 565.9 456.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.05 m 568.1 445.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 443.97 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (The Brandon Trust)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 474.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 451.7 Tm (12)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 432.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 389.3 m 564.47 389.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.67 m 567.8 424.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.75 m 30.07 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.92 m 298.32 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 380.09 m 432.52 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.75 m 566.72 355.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 408.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 385.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 362.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 362.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 341.39 m 297.25 341.39 l S 0.001 w 20.58 w 299.5 341.39 m 429.25 341.39 l S 0.001 w 20.58 w 431.5 341.39 m 565.9 341.39 l S 0.001 w 20.58 w 31.2 318.57 m 297.25 318.57 l S 0.001 w 20.58 w 299.5 318.57 m 429.25 318.57 l S 0.001 w 20.58 w 431.5 318.57 m 565.9 318.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 352.81 m 568.1 352.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.15 m 568.1 307.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.89 m 30.07 306.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 353.89 m 298.37 306.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 353.89 m 430.37 306.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 353.89 m 567.02 306.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 336.63 Tm (learning disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 336.63 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 336.63 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.8 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 313.8 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 313.8 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 229.54 m 564.77 229.54 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 263.95 m 567.8 263.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.12 m 568.1 241.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.77 m 567.8 286.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.95 m 568.1 263.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.12 m 568.1 241.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.54 m 568.1 174.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 287.85 m 30.07 173.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 287.85 m 566.72 173.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 270.59 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.76 Tm (The maximum number of service users who can be accommodated is 12.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.93 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 210.35 Tm (with nursing - Code N to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.77 Tm (admission to the home are within the following categories: Learning disability \(Code )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 181.19 Tm (LD\) Physical disability \(Code PD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 159.76 m 315.25 159.76 l S 0.001 w 1 1 1 RG 20.58 w 317.5 159.76 m 346.55 159.76 l S 0.001 w 20.58 w 348.8 159.76 m 377.9 159.76 l S 0.001 w 20.58 w 380.15 159.76 m 409.2 159.76 l S 0.001 w 20.58 w 411.45 159.76 m 440.55 159.76 l S 0.001 w 20.58 w 442.8 159.76 m 471.9 159.76 l S 0.001 w 20.58 w 474.15 159.76 m 503.2 159.76 l S 0.001 w 20.58 w 505.45 159.76 m 534.55 159.76 l S 0.001 w 20.58 w 536.8 159.76 m 565.9 159.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 171.17 m 568.1 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.34 m 568.1 148.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 172.25 m 30.07 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 172.25 m 316.37 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 172.25 m 347.67 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 172.25 m 379.02 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 172.25 m 410.32 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 172.25 m 441.67 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 172.25 m 473.02 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 172.25 m 504.32 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 172.25 m 535.67 147.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 172.25 m 567.02 147.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 154.99 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 136.46 m 565.9 136.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 126.84 m 568.1 126.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 127.92 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 127.92 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 146.09 m 568.1 146.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 126.84 m 568.1 126.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 147.17 m 30.07 125.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 147.17 m 567.02 125.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 132.9 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 132.9 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 113.65 Tm (Windermere Road currently has eleven bedrooms, as two rooms have been used to )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 96.65 Tm (make one large one to meet a person's specific need. The home provides residential )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 79.65 Tm (nursing accommodation for adults with learning and physical disabilities who may have )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 62.65 Tm (complex needs, and a qualified nurse is always on duty. The home is situated within an )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 45.65 Tm (area that has easy access to Cheltenham town centre. The home benefits from being )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 559.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 559.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.85 m 568.1 560.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (on the main route into Cheltenham where public transport can be accessed.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (The accommodation consists of three connected bungalows, two with four single )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (bedrooms, one with three single bedrooms, and all bungalows have a fully adapted )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (bathroom and a lounge diner. The home has a well-equipped sensory room. There is a )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (pleasant garden with an accessible patio and raised flowerbeds. The front of the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (property has ample space for car parking.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (The home is run by Brandon Trust and Advanced Housing manage the property, which )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (include all the repairs. The fees range from 1200 pounds per week. The assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (fees are calculated according to needs assessment. All personal items are not included )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm (in the fees.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (At this random inspection one of our \(the Care Quality Commission\) pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (inspectors specifically examined some of the arrangements for the handling of medicines. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (The manager has kept us informed about some problems with medication earlier in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (year and the actions taken to deal with these. Our inspection was therefore to check that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (there were still safe arrangements in place for administering and handling medicines in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (this home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (We looked at some stocks and storage arrangements for medicines and various records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (about medication. We spoke to the manager and deputy manager. We gave feedback )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (during the inspection to the manager. The inspection took place during a three and a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (quarter hour period on a Wednesday morning. We thank the staff for their assistance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (during our visit and the positive way in which they approached this inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (At the time of this inspection no people living in the home were assessed as able to self )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (medicate and look after their medicines so they were totally dependent on the staff for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (this part of their care. Registered nurses were responsible for handling and administering )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (all medicines to people living in the home. During the period of our inspection staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (administered medicines to people living in the home on time and were aware of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (importance of this. We discussed the times for giving medication, particularly about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (making sure that there is at least a four hour interval between doses of certain medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (and of achieving an even spread of doses throughout the day. This helps get the best )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (effect from medicines such as painkillers and antibiotics. We saw that there was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (information kept about each person's choices or preferences and consent issues for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (medication along with reference to their 'best interests' statements where needed. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (looked at records for one person who has medication administered in a particular way )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (and saw that these had been developed to make sure that their best interest was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (considered. The manager told us there had been no changes since this had been written )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (in 2007 but there should be a way to demonstrate that this sort of information is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (regularly reviewed. We also spoke to the manager and deputy about any cultural or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (equality and diversity issues affecting medication for people living in this home and they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (told us that there was nothing related to medication they have identified at the moment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (There were arrangements for keeping records about medication received, administered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (and leaving the home or disposed of \(as no longer needed\) for each person living in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (home. Accurate, clear and complete records about medication are very important in a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (care home so that people are not at risk from mistakes with their medicines and so that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (there is a full account of the medicines the home is responsible for on behalf of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (people living there. We found that the home kept comprehensive records about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (medication and in recent months had made a number of changes. One of the more )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (critical records was the preparation of the medicine administration record charts each )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (month. Two registered nurses were now responsible for this in a planned and coordinated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (way in order to make sure that the records are up to date and accurate and so reduce the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (risk of mistakes that have sometimes occurred in the past. We pointed out the medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (name on one chart \(Calcichew\) was different from that on the copy of the original )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (prescription \(Calcichew D3\). Care was also needed with dose units. We pointed out an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (example written in milligrams \(mg\) that should have been in micrograms \(mcg\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (We found that routinely administered medicines were generally signed as administered. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (This indicated that people living in the home were receiving their medicines as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (prescribed. We also made some checks of the packs of medicines on the trolley which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (also helped to confirm this. We found the right records in place for two other spot checks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (we made of medicines on the trolley. The home has in place a system of twice daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (counts of medicines so should be able to identify very quickly if people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (may have missed their medicines or if there is some other discrepancy.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (We found some very occasional gaps on a medicine administration record for one person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (we looked at. We could not tell the reason for this as no explanation was provided. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (may be because this person did not have the medicines or the staff may have given the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (medicine but forgotten to sign the record. An explanation must always be included on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (medicine chart. A simple way to do this is for all staff to use standard code letters to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (explain why a dose was missed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (Another person was prescribed a medicated patch that has to be changed every three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (days. We found that there were conflicting records recently during the period 19 to 24 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (July 2009 that indicated staff had not changed the patch at the right interval. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (manager was not able to find an explanation for this during the inspection but was going )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (to investigate further. It is very important where doses are given at set intervals like this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (that the records are very clearly marked to alert staff to when the next dose is due. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (same principal would also apply to another medicine we saw where a particular tablet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (was given once each week.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (A number of people were prescribed various liquid feed supplements. There was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (information for staff about using these but we only saw a record for when these were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (given for one person. The manager told us that this sort of record was not kept. We have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (published information about administration and recording of creams and nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (supplements on our website \(www.cqc.org.uk\) so this must be followed. Similarly records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (must be kept of all prescribed creams and ointments that staff apply. This is so to help )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (make sure that people living in the home receive their correct treatment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (We saw that there were some detailed written protocols in place with information for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (some people who were prescribed particular medicines to use in certain defined medical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (situations. These were to help guide staff with making decisions about using these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (medicines in a consistent way to meet each person's identified needs. We also saw there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (were protocols in place for laxatives and painkillers that were prescribed to use 'when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (required' but pointed out that more specific guidance for staff would be beneficial. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (manager told us she would include additional information. Cross referencing with any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (communication plans may be useful to consider.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (The home have recently purchased a medicine trolley that is used to help with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (administering medicines for everyone living in the home. The staff we spoke to thought )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (that this was a better system. The link inspector had recommended at a previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (inspection that this would be a safer system for everyone in the home so it is good that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (this has been implemented.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (We looked at the other arrangements provided for storing the medicines and although )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (these were generally suitable there were some matters needing attention. The cleaning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (materials kept in the medicine room \(for safety reasons\) must be stored properly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (separated from any medicines. The medicine fridge was too cold at the time we inspected )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 571.62 w 31.2 499.42 m 580.26 499.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 212.48 m 582.46 212.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 211.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 211.4 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (\(below freezing point\); this could lead to degradation of medicines stored in here. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (were arrangements for recording the temperature in the medicine fridge and these also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (showed that it had previously sometimes been too cold but the last time there was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (record was on 3rd July 2009. The temperature control on the fridge was adjusted during )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (the inspection and the manager said she would monitor this. We checked the items in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (fridge and nothing was frozen. We advised that a number of items kept in the fridge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (could in fact be kept at room temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Controlled medicines were stored in a double locked cupboard but this was the old )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (hospital specification so did not comply with the current regulations for storing these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (medicines in care homes in terms of construction and fixing to the wall. \(We publish )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (information about storing controlled drugs on our website www.cqc.org.uk.\) There was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (standard record book in place for keeping the extra records needed for this group of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (medicines. We advised it would be good practice to also keep records of another injection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (in here.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Oxygen cylinders were kept to use in certain medical emergencies. These were stored )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (safely and with written protocols about how and when to use. There were warning notices )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (displayed. We provided information about the full wording for the warning notices.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (There were detailed medication procedures in place which the manager had revised in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (March 2009 and all staff were provided with a copy. There is therefore clear information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (available about how the company expects medication to be safely managed. We did have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (to point out to the manager that the arrangements for the disposal of controlled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (medicines were not correct for a care home with nursing. We have published information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (about the safe disposal of waste medicines and controlled drugs on our website )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (\(www.cqc.org.uk\) so this must be followed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (The manager told us that update training for the registered nurses had not yet taken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (place but was planned with the local pharmacist later in the year. An action plan we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (received from the home indicated that there would also be regular spot checks around )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (medication for each staff member but these were not yet in place. The manager told us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (that she said does include medication issues in two-monthly supervision or team )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (meetings. We also discussed involvement of carers with the administration of medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (and that this could be a nurse delegated task. The carers would need proper training and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (that delegation would have to be by an individual nurse at each shift as that nurse would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (ultimately carry responsibility for what happened on their shift. This issue was covered in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (the home procedures but they need to make sure that it is clear about the delegation by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (each nurse.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 194.41 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 194.41 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 64.32 w 31.2 151.06 m 580.26 151.06 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 184.35 m 582.46 184.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 117.78 m 582.46 117.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 185.42 m 30.07 116.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 185.42 m 581.38 116.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 168.16 Tm (Medication needed by people living in the home were in stock.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.58 Tm (Regular checks of medicines were in place.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 139 Tm (Detailed protocols giving guidance to staff about the use of medicines in defined medical )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 124.42 Tm (circumstances were in place. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 97.46 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 44.84 w 31.2 64.97 m 580.26 64.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 88.51 m 582.46 88.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 89.59 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 89.59 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (Make sure that any individual plans, protocols or statements around medication are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (regularly reviewed and dated when reviewed.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 498.72 w 31.2 535.86 m 580.26 535.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 285.38 m 582.46 285.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 284.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 284.3 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Give consideration to printing a standard code on each medicine chart for all staff to use )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (to explain if a medicine dose is missed. Also consider providing a specific space to write )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (the full start date on each medicine chart to help make sure it is always clear to what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (period each chart refers.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Make sure that medicines are always given at the right dose intervals and that medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (charts are very clear when doses are not given daily \(every three days or weekly for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (example\). The manager must try and determine what happened with the changing of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (medicated patch during the period 19 to 24 July 2009 as identified above in this report )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (and see if any further improvments can be made to reduce the likelihood this sort of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (discrepancy occurring again.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Keep records for all prescribed food supplements that staff administer or creams and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (ointments that they apply topically to people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Review protocols for laxatives and painkillers prescribed to use 'when required' to make )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (sure that these give more guidance to staff about specific triggers to watch for especially )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (where the people in the home are not able to ask when they need these.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (Revise some storage arrangements so as to keep any cleaning materials stored in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (medication room properly separated from any medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Make sure that medicines kept in the fridge are always kept in the correct temperature )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (range of 2 to 8 degrees centigrade. Keep daily records of the fridge temperature and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (always take action if this is outside of the right range for storing medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Always read the manufacturers' instructions about the right temperature for storing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (medicines and make sure that these are followed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Upgrade the storage arrangements for controlled drugs to comply with the Misuse of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (Drugs \(Safe Custody Regulations\) 1973.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Include the injection identified at the inspection in the controlled drug record book so as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (to provide a better account of this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Change the policy and arrangements for the disposal of controlled drugs in order to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (comply with the current law.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (Use the full warning in areas where oxygen cylinders are displayed or used.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (Provide additional update training for staff involved with medication and formal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (assessment of their competence.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (One of the medicine reference books should be updated to the September 2009 edition )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (when published \(the manager told us she would order this\), so that staff have access to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (up to date and accurate information about medicines they administer. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 269.32 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 269.32 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 253.32 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET 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0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 256.86 w 31.2 371.07 m 91.05 371.07 l S 0.001 w 256.86 w 93.3 371.07 m 197.4 371.07 l S 0.001 w 256.86 w 199.65 371.07 m 289.45 371.07 l S 0.001 w 256.86 w 291.7 371.07 m 473.8 371.07 l S 0.001 w 256.86 w 476.05 371.07 m 566.1 371.07 l S 0.001 w 197.84 w 31.2 141.47 m 91.05 141.47 l S 0.001 w 197.84 w 93.3 141.47 m 197.4 141.47 l S 0.001 w 197.84 w 199.65 141.47 m 289.45 141.47 l S 0.001 w 197.84 w 291.7 141.47 m 473.8 141.47 l S 0.001 w 197.84 w 476.05 141.47 m 566.1 141.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 241.51 m 568.3 241.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 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The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (Make sure that the medicine )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (fridge is always kept in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (correct temperature range of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (2 to 8 degrees centigrade )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (and action is always taken to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.54 Tm (correct this if it is found to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.96 Tm (at the wrong temperature. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.8 Tm (This is to make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.22 Tm (medicines are stored at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.64 Tm (right temperature as directed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.06 Tm (by the manufacturers in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.48 Tm (order to maintain their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.9 Tm (correct potency and not put )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.32 Tm (people living in the home at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.74 Tm (risk from taking medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.16 Tm (that are no longer stable. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 225.33 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 225.33 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 225.33 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 225.33 Tm (Update storage )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.75 Tm (arrangements so that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.17 Tm (provisions of the Misuse of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.59 Tm (Drugs \(Safe Custody\) )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.01 Tm (Regulations 1973 are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.43 Tm (complied with when any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.85 Tm (controlled drugs are kept in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.27 Tm (the home. Make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.69 Tm (any controlled drugs that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.11 Tm (no longer needed in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.53 Tm (home are correctly disposed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 64.95 Tm (of using a denaturing kit and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 50.37 Tm (in accordance with the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 225.33 Tm (30/09/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 484.04 w 32.32 542.08 m 564.97 542.08 l S 0.001 w 1 1 1 RG 111.06 w 31.2 628.16 m 91.05 628.16 l S 0.001 w 111.06 w 93.3 628.16 m 197.4 628.16 l S 0.001 w 111.06 w 199.65 628.16 m 289.45 628.16 l S 0.001 w 111.06 w 291.7 628.16 m 473.8 628.16 l S 0.001 w 111.06 w 476.05 628.16 m 566.1 628.16 l S 0.001 w 271.44 w 31.2 434.65 m 91.05 434.65 l S 0.001 w 271.44 w 93.3 434.65 m 197.4 434.65 l S 0.001 w 271.44 w 199.65 434.65 m 289.45 434.65 l S 0.001 w 271.44 w 291.7 434.65 m 473.8 434.65 l S 0.001 w 271.44 w 476.05 434.65 m 566.1 434.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 571.5 m 568.3 571.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 296.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 571.5 m 568.3 571.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 297.81 m 568.3 297.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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231.34 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 216.76 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 195.94 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 195.94 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 195.94 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 173.53 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 173.53 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 173.53 Tm (Include more detail in the written guidance to staff on how )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 158.95 Tm (to reach decisions for any medicine prescribed to be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 144.37 Tm (administered 'when required' and how staff are to reach the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 129.79 Tm (decision to administer in accordance with the provisions of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 115.21 Tm (the Mental Capacity Act 2005. \(This particularly refers to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 100.63 Tm (analgesics and laxatives\). )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 77.8 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 77.8 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 77.8 Tm (Make sure that cleaning materials are stored properly )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 63.22 Tm (segregated from any medication. )Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 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l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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